Is the Er:YAG laser affect the surface characteristics and bond strength of Y-TZP?

Abstract This study evaluated the surface characteristics and bond strength of Y-TZP treated with Er:YAG laser at different focal distances. 120 Y-TZP blocks were divided into five groups (n=24), according to the surface treatment: no treatment (C-); sandblasting with silica-coated aluminum oxide particles (C+); and Er:YAG laser application at focal distances of 1mm (Er:YAG-1), 4mm (Er:YAG-4), and 7mm (Er:YAG-7). Surface characteristics were analyzed using Vickers microhardness, confocal laser microscope, scanning electron microscopy (SEM), and X-ray diffractometer (XRD). For the bond strength test, 100 Y-TZP blocks were subdivided into two subgroups (n=10), according to the resin cement used: with (MDP+) or without 10-methacryloyloxydecyl dihydrogen phosphate (MDP-). The Vickers microhardness and surface roughness were analyzed by one-way ANOVA and bond strength by two-way ANOVA and Tukey's test for both (α=0.05). Vickers microhardness differences were not observed between the groups (p>0.05); C+ showed higher surface roughness values. SEM images showed micromorphological differences between the groups. The XRD data detected tetragonal crystals for C- and, for the other groups, tetragonal and monoclinic peaks. For bond strength, no statistically difference significance were observed among the cements with or without MDP (p>0.05) but showed significant difference between the surface treatments (C+ > C- = Er:YAG1 > Er:YAG4 = Er:YAG7) (p<0.05). Suggested that the Er:YAG laser cannot replace conventional treatment with aluminum oxide particles and the presence of MDP in the resin cement had no influence on the bond strength.

Resumo Este estudo avaliou as características de superfície e resistência de união de Y-TZP tratado com laser de Er: YAG em diferentes distâncias focais. Cento e vinte blocos de Y-TZP foram divididos em cinco grupos (n=24), de acordo com a superfície de tratamento: sem tratamento (C-); asperização com partículas de óxido de alumínio revestidas por sílica (C +); e aplicação de laser Er: YAG a distâncias focais de 1 mm (Er: YAG-1), 4 mm (Er: YAG-4) e 7 mm (Er: YAG-7). As características de superfície foram analisadas por meio de microdureza Vickers, microscópio confocal a laser, microscopia eletrônica de varredura (MEV) e difratômetro de raios-X (DRX). Para o ensaio de resistência de união, cem blocos de Y-TZP foram subdivididos em 2 subgrupos (n=10) de acordo com o cimento resinoso utilizado (n=12): com 10-metacriloiloxidecil dihidrogenofosfato (MDP+) ou sem (MDP-). Microdureza Vickers e rugosidade de superfície foram analisadas por ANOVA a 1 fator e a resistência de união por ANOVA a 2 fatores e ambos seguidos de teste complementar de Tukey (α=0,05). Não foram observadas diferenças de microdureza Vickers entre os grupos; C+ apresentou maiores valores de rugosidade superficial. Imagens de MEV mostraram diferenças micromorfológicas entre os grupos. Os dados de DRX detectaram apenas cristais tetragonais para C- e, para os outros grupos, picos de zircônia nas fases tetragonal e monoclínica. Para a resistência de união, não foram observadas diferenças estatisticamente significante entre os cimentos com e sem MDP (p>0.05), mas foram observadas diferenças significativas entre os tratamentos de superfície (C+ > C- = Er:YAG1 > Er:YAG4 = Er:YAG7) (p<0.05). Sugere-se que o laser de Er: YAG não pode substituir o tratamento convencional com partículas de óxido de alumínio e a presença de MDP no cimento resinoso não influenciou na resistência de união.

Different fabrication techniques of implant-supported prostheses: microhardness and fracture strength

Aim: This study evaluated the mechanical behavior of implant-supported crowns obtained by different fabrication technique after thermomechanical cycling. Methods: Thirty-two external hexagon dental implants were divided into four groups (n=10): CC ­ conventional casting with torch; EI ­ electromagnetic induction casting; PL ­ plasma casting; and CAD-CAM ­ milling through computer-aided design and computer-aided manufacturing. Vickers microhardness of the specimens were made before and after the thermomechanical cycling, and then subjected to fracture load. Fracture pattern was evaluated. Results: No significant difference was observed comparing the microhardness before and after thermomechanical cycling. CAD-CAM group presented significant lower microhardness than the other groups. No significant statistical difference was showed on fracture load between the groups. The CAD-CAM and PL presented lower number of failure by plastic deformation. Conclusion: The manufacturing techniques affected the mechanical behavior and the failure pattern of implant-supported crowns tested

Fracture toughness of three heat pressed ceramic systems

Aim: The aim of this study was to evaluate fracture toughness by indentation method of three dental ceramics processed by heat pressing. The ceramics evaluated were fluorapatite glass ceramic (ZIR), glass ceramic containing leucite (POM) and leucite-reinforced glass ceramic (EMP). Materials and methods: Ninety disks (13mm of diameter x 4mm of thickness) and nine rectangular specimens (25x4x2mm) were made to evaluate, respectively, microhardness/fracture toughness (n=30) and elastic modulus (n=3). Samples were obtained by pressing ceramic into refractory molds. After polishing, Vickers microhardness was evaluated under 4,904N load for 20s. Elastic modulus was measured by impulse excitation technique. Data from microhardness and elastic modulus were used to calculate fracture toughness, after measuring crack length under 19,6N load applied for 20s. Results were evaluated by ANOVA and Tukey´s test. Results: Microhardness (VHN) of POM (637.9±53.6) was statistically greater (p<0.05) than ZIR (593.0±14.3), followed by EMP (519.1±21.5); no significant difference (p=0.206) was noted for elastic modulus (GPa) (ZIR: 71.5±9.0; POM: 67.3±4.4; EMP: 61.7±2.3). Fracture toughness (MPa/m) of POM (0.873±0.066) was statistically lower (p<0.05) than ZIR (0.977±0.021) and EMP (0.965±0.035). Conclusion: The results suggest that fluorapatite glass ceramic (ZIR) and leucite-reinforced glass ceramic (EMP) processed by heat pressing presented greater fracture toughness, improving clinical prognosis of metal free restorations

As ligas odontológicas determinam a escolha das resinas compostas a serem utilizadas: desgaste de ligas odontológicas contra resinas compostas / The dental alloys determine the choice of composite resins to be used: wear of dental alloys against composite resins

Objetivo: O objetivo deste estudo foi avaliar a resistência ao desgaste de duas resinas compostas contra ligas alternativas. Materiais e Métodos: Quinze amostras de corpo cônico foram obtidas das resinas Z250 e charisma (CHA). As amostras foram divididas em três grupos de acordo com o disco da liga a ser utilizada como antagonista: NíquelCromo (Ni-Cr), Cobalto-Cromo (Co-Cr) e titânio comercialmente puro (Ti cp). Os testes de desgaste foram realizados na velocidade de 265 ciclos/minuto e distância de 10mm, totalizando 40.000 ciclos. Antes e após os testes de desgaste, as amostras foram pesadas e tiveram seu perfil desenhado em projetor de perfil para avaliar a perda de peso e de altura, respectivamente. Resultados: Para a perda de peso e de altura, o desgaste de Z250 foi menor do que CHA para o antagonista de Co-Cr, mas maior para o Ti cp. CHA apresenta superfície mais regular, sem fendas, e aspecto semelhante para todos os antagonistas. Z250 apresentou algumas fendas, principalmente contra Ti cp e Ni-Cr. Conclusão: Baseado nos resultados deste estudo, concluiu-se que CHA é mais apropriada contra Ti cp, e Z250 para associação com liga de Co-Cr enquanto qualquer resina composta pode ser utilizada contra Ni-Cr. (AU)

Objective: The aim of the present study was to evaluate wear resistance of two composites resins against alternative alloys. Material and Methods: Fifteen stylus tips samples of composite resin were obtained for each resin Z250 and charisma (CHA). Samples were divided into three groups according to the disk of alloy to be used as antagonist: NickelChromium (Ni-Cr), Cobalt- Chromium (Co-Cr) and commercially pure titanium (cp Ti). Wear tests were performed at a speed of 265 cycles/min and distance of 10mm, in a total of 40,000 cycles. Before and after wear tests, samples were weighed and had their profile designed in an optical comparator to evaluate weight and height loss, respectively. Results: For weight and height loss, wear of Z250 was lower than CHA for Co-Cr antagonist, but greater for cp Ti. CHA presents a more regular surface without cracks and similar aspect for all antagonists. Z250 showed some cracks, mainly against cp Ti and Ni-Cr. Conclusion: Within the results of the present study, it was concluded that CHA is suitable against cp Ti, and Z250 for association with Co-Cr alloy while any composite resin can be used against Ni-Cr.(AU)

Reliability of FEA on the Results of Mechanical Properties of Materials

The present study evaluated the reliability of FEA on the results of different mechanical properties (E and v) of materials. Two 3D models of a maxillary canine with endodontic treatment, intracanal post, composite resin core and restored with porcelain-fused-to-metal crown were generated according to micro-CT images. Two groups with different E and ν values for porcelain, metal coping alloy, resin cement and composite resin were established. The materials' properties for group GL were based on literature data, while for group GIE the impulse excitation technique was used. A load of 180 N was applied at 45° on the incisal third of the lingual surface of the canine tooth. All models were supported by the periodontal ligament (x=y=z=0). The von Mises stress (VMS) was calculated. The stress values revealed differences between the groups for both VMS distribution and value. The porcelain (GL: 5.966 MPa; GIE: 7.478 MPa), metal coping (GL: 3.811 MPa; GIE: 0.973 MPa) and core (GL: 4.771 MPa; GIE: 0.026 MPa) were significantly affected. In conclusion, this study showed that the determination of mechanical properties (E and ν) of materials is essential for the reliability on the results of FEA.

Resumo O presente estudo avaliou a confiabilidade do MEF nos resultados de diferentes propriedades mecânicas (E e v) dos materiais. Dois modelos 3D de um canino superior com tratamento endodôntico, pino intrarradicular, núcleo em resina composta e restaurado com coroa metalocerâmica foram gerados de acordo com imagens de micro-CT. Dois grupos com diferentes valores de E e v para a cerâmica, coping metálico, cimento resinoso e resina composta foram criados. As propriedades dos materiais para o grupo GL foram baseadas em dados obtidos da literatura, enquanto para o grupo GIE a técnica de excitação por impulso foi utilizada. Carga de 180 N foi aplicada a 45° na superfície lingual do terço incisal do canino. Todos os modelos foram suportados pelo ligamento periodontal (x=y=z=0). Tensões equivalentes de von Mises (VMS) foram calculadas. Os valores de tensões revelaram diferença entre os grupos, ambos para a distribuição e valor das VMS. A cerâmica (GL: 5,966 MPa; GIE: 7,478 MPa), coping metálico (GL: 3,811 MPa; GIE: 0,973 MPa) e núcleo (GL: 4,771 MPa; GIE: 0,026 MPa) foram significativamente afetados. Em conclusão, este estudo mostrou que a determinação das propriedades mecânicas (E and v) dos materiais é essencial para a confiabilidade dos resultados do MEF.

In Vitro Fit and Cementation Resistance of Provisional Crowns for Single Implant-Supported Restorations

Abstract: This study aimed to verify marginal fit and the effect of cement film thickness standardization on retention of provisional crowns made with prefabricated acrylic cylinders on abutments, using two temporary luting agents subjected or not to mechanical cycling. Provisional crowns were made from bis-acryl (Luxatemp Fluorescence) or methyl methacrylate (Duralay) resins on acrylic cylinders and marginal fit and cement film thickness were evaluated. For retention evaluation, crowns were cemented with two temporary luting agents: non-eugenol zinc oxide (Tempbond NE) or calcium hydroxide-based (Hydcal) cements and subjected to tensile strength in a universal testing machine. After cleaning, debonded crowns were cemented again, subjected to mechanical cycling and retention was reassessed. The results of marginal fit and cement film thickness were analyzed by Student's t-test while retention of cements before and after mechanical cycling was analyzed using a mixed linear model. Methyl methacrylate crowns presented greater marginal misfit (p=0.001) and occlusal cement film thickness (p=0.003) than the bis-acryl ones. No difference was observed at axial cement film thickness (p=0.606). Resins (p=0.281) did not affect crown retention, but luting agents (p=0.029) and mechanical cycling (p=0.027) showed significant effects. The only significant interaction was mechanical cycling*luting agents, which means that luting agents were differently affected by mechanical cycling (p=0.002). In conclusion, the results showed that bis-acryl resin associated to calcium-hydroxide luting agent provided the best retention and lower cement thickness.

Resumo: O objetivo deste estudo foi avaliar a adaptação marginal e o efeito da espessura da camada de cimento na retenção de coroas provisórias fixadas sobre os pilares com o auxílio de cilindros acrílicos pré-fabricados, utilizando dois cimentos provisórios submetidos ou não à ciclagem mecânica. Coroas provisórias foram confeccionadas com resina bis-acrilíca (Luxatemp Flourescence) ou resina à base de metil metacrilato (Duralay) sobre os cilindros, para posterior avaliação da influência das diferentes resinas na adaptação marginal e na espessura da linha do cimento. Para a avaliação da resistência à tração, as coroas foram cimentadas com dois cimentos provisórios: à base de óxido de zinco sem eugenol (Temp Bond NE) ou hidróxido de cálcio (Hydcal) e submetidas ao teste de tração em máquina universal de ensaio. Após o ensaio, as coroas foram limpas e novamente cimentadas para serem submetidas à ciclagem mecânica e posterior avaliação da resistência à tração. Os resultados obtidos para adaptação marginal e espessura do cimento foram analisados pelo teste t de Student, enquanto os resultados de resistência à cimentação antes e após a ciclagem mecânica foram analisados pelo modelo linear de efeitos mistos. As coroas confeccionadas com a resina de metil metacrilato apresentaram maiores valores para desadaptação marginal (p=0,001) e espessura do cimento (p=0,003) na parede oclusal quando comparadas com as coroas de resina bis-acrílica. Não houve diferença na espessura do cimento (p=0,606) na parede axial das coroas provisórias. As diferentes resinas não afetaram a resistência à cimentação das coroas (p=0,281), mas os diferentes cimentos (p=0,029) e a ciclagem mecânica (p=0,027) mostraram efeitos significantes. A única interação significante foi ciclagem mecânica ?#61482; agente cimentante, o que significa que os cimentos foram diferentemente afetados pela ciclagem mecânica (p=0,002). Em conclusão, a associação resina bis-acrílíca e cimento de hidróxido de cálcio proporcionou melhor resistência à tração e menor espessura de cimento.

Resistência retentiva de coroas implantossuportadas unitárias antes e após ciclagem termomecânica / Retentive strength of single-tooth implant-supported crowns before and after thermomechanical cycling

Objetivo: verificar a resistência à tração em coroas implantossuportadas cimentadas, antes e após o processo de ciclagem termomecânica. Material e métodos: foram confeccionadas18 coroas totais metálicas em liga de Ni-Cr a partir de cilindros calcináveis. As coroas foram cimentadas sobre pilares tipo munhão universal, instalados sobre implantes embutidos em bases cilíndricas de aço inoxidável. Foram testados os seguintes cimentos: cimento de óxido de zinco sem eugenol (OZ), cimento de fosfato de zinco (FZ) e cimento resinoso (RE), sendo seis corpos-de-prova para cada grupo. Após a cimentação, as coroas foram tracionadas em máquina universal de ensaios com velocidade de 0,5 mm/min. Após a limpeza, os corpos-de-prova foram novamente cimentados e submetidos ao ensaio de ciclagem termomecânica com carga de 120 N e temperatura entre 5°-55°C, sendo 500.000 ciclos mecânicos com frequência de 2 Hz e 2083 ciclos térmicos (um ciclo térmico: dois minutos). O ensaio de resistência foi realizado novamente, sendo os dados anotados e analisados estatisticamente. Resultados: a resistência de cimentação de FZ foi superior ao RE e OZ antes e após a ciclagem mecânica. A ciclagem termomecânica diminuiu significativamente a resistência de cimentação do grupo FZ. Conclusão: o cimento OZ foi o menos retentivo, seguido pelo RE e FZ, antes e após a ciclagem termomecânica. Além disso, o cimento FZ é mais susceptível às alterações pela ciclagem termomecânica.

Avaliação da estabilidade do implante pela análise da frequência de ressonância: estudo in vivo com carregamento imediato e precoce em um modelo em cães / Evaluation of implant stability by means of resonance frequency analysis: an in vivo study with immediate and early loading in the dog model

Este estudo teve por objetivo avaliar a estabilidade de implantes de carga imediata ou precoce, em diferentes intervalos de tempo. Material e Métodos: foram extraídos os pré-molares mandibulares, bilateralmente, de oito cães e, após 12 semanas, cada cão recebeu seis implantes (três em cada lado da mandíbula). A carga foi aplicada em pares, em um implante de cada lado, sendo que o primeiro par recebeu carga imediata, o segundo par após sete dias, e o terceiro par após 14 dias. Em cada período, as medidas de estabilidade dos implantes foram realizadas por frequência de ressonância (ISQ). Após 12 semanas, uma nova leitura da estabilidade dos implantes foi realizada. A análise estatística foi feita usando modelo linear de efeitos mistos, que é uma generalização do modelo linear padrão (Anova). Diferenças foram consideradas significantes quando p < 0,05. Resultados: a estabilidade do implante mudou no decorrer do tempo para todos os protocolos de carga, apresentando aumento significativo na estabilidade final, mas as variações foram semelhantes para os três grupos estudados. Nos períodos de sete dias e 14 semanas, o protocolo de carga imediata apresentou menor estabilidade de implante do que os protocolos de sete e 14 dias. Conclusão: a estabilidade do implante diminui nos períodos iniciais após a cirurgia e aumenta no período de 14 semanas. A estabilidade dos implantes do protocolo de carga imediata é menor do que a dos protocolos de sete e 14 dias, sugerindo cautela para seu uso...

This study aimed to evaluate implant stability in function with immediate or early loading protocols at different time intervals. Material and Methods: The mandibular premolars of eight dogs were pulled bilaterally. After 12 weeks, each dog received 6 implants (3 at each mandibular side). Implant loading was performed for each implant pair according to the following periods: immediate (fi rst pair), 7 days later (second pair), 14 days later (third pair). Implant stability measurements were performed by means of resonance frequency for each period. After 12 weeks, new readings of implant stability were obtained. The statistical analysis was performed using a mixed linear model, which is a generalization of the standard linear model (Anova), with differences considered signifi cant at p<0.05. Results: Implant stability changed throughout time for all loading protocols, presenting a significant increase in fi nal stability values, but variations were similar for the three studied groups. At 7- and 14-week periods, immediate loading protocol presented lower implant stability than 7-day or 14-day protocols. Conclusions: Implant stability diminishes in the initial periods after surgery, and increases in a 14-week period. In the middle-term, there were no statistically significant differences in the stability of immediately-loaded implants, one or two weeks after implant placement...

Effect of toothbrushing with different toothpastes at commerciallypure titanium surface roughness / Efeito da escovação com diferentes dentifrícios na rugosidade superficial do titânio comercialmente puro

Objective: To evaluate the effect of brushing, using toothpastes with different fluoride concentrations, on the surface of commercially pure titanium (cp Ti). Methods: Discs (13x4mm) made of cp Ti, embedded in PVC rings and metallographically polished have their surface roughness measured. Tooth brushing simulations (50,400 cycles) were performed: speed of 80mm/s, distance of 10mm distance, at 240 cycles/min. Three toothpastes were tested: Prevident 5000 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil), Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil) and Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil), with 5000, 1300 and 500ppm fluoride concentrations, respectively. The brushings had 7.14g and 14.28g of toothpaste, both for 50mL of deionized water. The surface roughness was reevaluated and data were analyzed by two-way ANOVA and Tukey?s test for the effect of brushing and toothpastes. Results: At the beginning, no significant difference (p=0.09) of roughness was noted among the experimental groups (Prevident, Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil): 0.160±0.019; Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil): 0.159±0.030; Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil): 0.157±0.019) but roughness decreased after the 1st (p<0.05) (0.094±0.010) and 2nd (0.089± 0.012) brushings (p<0.05) with Prevident 5000 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil), with no significant difference between the 1st and 2nd brushings (p=0.16). Discs brushed with Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil) presented surface roughness similar (p=0.090) at the beginning and after the 1st brushing (0.133±0.029), and between the 1st and 2nd (0.113±0009) brushings (p=0.402); roughness after the 2nd brushing was statistically greater than at the beginning (p<0.05). Tandy (Colgate- Palmolive Ind. e Com. Ltda., São Paulo, Brazil) toothpaste caused a surface roughness significantly lower (p<0.05) after the 2nd brushing (0.113±0.010), compared to the 1st (0.147±0.020) and the starting point, which were statistically similar (p=0.090). Conclusion: The results suggest that brushing using toothpastes with fluoride causes a decrease in the surface roughness of cp Ti, mainly when greater fluoride concentrations are present.

Objetivo: Avaliar o efeito da escovação com dentifrícios contendo diferentes concentrações de flúor na superfície do titânio comercialmente puro (Ti cp). Métodos: Discos (13x4mm) de Ti cp, embutidos em anéis de PVC e polidos metalograficamente, tiveram a rugosidade superficial avaliada. A simulação da escovação (50400 ciclos) teve velocidade de 80mm/s, curso de 10mm, com 240 ciclos/min. Foram testados três dentifrícios: Prevident 5000, (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil); Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil) e Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil), com 5000, 1300 e 500ppm de flúor, respectivamente. As escovações tiveram 7,14g e 14,28g de dentifrício, ambas para 50ml de água deionizada. A rugosidade superficial foi reavaliada e os dados analisados por ANOVA - dois fatores e teste de Tukey quanto ao efeito da escovação e dos dentifrícios. Resultados: Inicialmente não houve diferença significante (p=0,09) na rugosidade dos grupos experimentais Prevident, (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil): 0,160±0,019; Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil): 0,159±0,030; Tandy (Colgate- Palmolive Ind. e Com. Ltda., São Paulo, Brasil): 0,157±0,019), mas houve diminuição da rugosidade após a 1ª (0,094±0,010) (p<0,05) e 2ª (0,089±0,012) escovações (p<0,05) com Prevident 5000 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil), sem diferença significativa entre as demais (p=0,16). Discos escovados com Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil) apresentaram rugosidade semelhante inicialmente (p=0,090) e após a 1ª escovação (0,133± 0,029), e entre a 1ª e a 2ª escovações (0,113±0,009) (p=0,402); a rugosidade após a 2ª escovação foi significativamente maior que a inicial (p<0,05). O dentifrício Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil) causou rugosidade superficial significativamente menor (p<0,05) após a 2ª escovação (0,113±0,010), comparada à 1ª (0,147±0,020) e a inicial, que foram semelhantes (p=0,090). Conclusão: Os resultados sugerem que a escovação com dentifrícios fluoretados diminui a rugosidade superficial do Ti cp, mais significativamente quanto maiores as concentrações de flúor presentes.

Effect of whitening toothpaste on titanium and titanium alloy surfaces

Dental implants have increased the use of titanium and titanium alloys in prosthetic applications. Whitening toothpastes with peroxides are available for patients with high aesthetic requirements, but the effect of whitening toothpastes on titanium surfaces is not yet known, although titanium is prone to fluoride ion attack. Thus, the aim of the present study was to compare Ti-5Ta alloy to cp Ti after toothbrushing with whitening and conventional toothpastes. Ti-5Ta (%wt) alloy was melted in an arc melting furnace and compared with cp Ti. Disks and toothbrush heads were embedded in PVC rings to be mounted onto a toothbrushing test apparatus. A total of 260,000 cycles were carried out at 250 cycles/minute under a load of 5 N on samples immersed in toothpaste slurries. Surface roughness and Vickers microhardness were evaluated before and after toothbrushing. One sample of each material/toothpaste was analyzed by Scanning Electron Microscopy (SEM) and compared with a sample that had not been submitted to toothbrushing. Surface roughness increased significantly after toothbrushing, but no differences were noted after toothbrushing with different toothpastes. Toothbrushing did not significantly affect sample microhardness. The results suggest that toothpastes that contain and those that do not contain peroxides in their composition have different effects on cp Ti and Ti-5Ta surfaces. Although no significant difference was noted in the microhardness and roughness of the surfaces brushed with different toothpastes, both toothpastes increased roughness after toothbrushing.

Comparative study of two commercially pure titanium casting methods

The interest in using titanium to fabricate removable partial denture (RPD) frameworks has increased, but there are few studies evaluating the effects of casting methods on clasp behavior. OBJECTIVE: This study compared the occurrence of porosities and the retentive force of commercially pure titanium (CP Ti) and cobalt-chromium (Co-Cr) removable partial denture circumferential clasps cast by induction/centrifugation and plasma/vacuum-pressure. MATERIAL AND METHODS: 72 frameworks were cast from CP Ti (n=36) and Co-Cr alloy (n=36; control group). For each material, 18 frameworks were casted by electromagnetic induction and injected by centrifugation, whereas the other 18 were casted by plasma and injected by vacuum-pressure. For each casting method, three subgroups (n=6) were formed: 0.25 mm, 0.50 mm, and 0.75 mm undercuts. The specimens were radiographed and subjected to an insertion/removal test simulating 5 years of framework use. Data were analyzed by ANOVA and Tukey's to compare materials and cast methods (α=0.05). RESULTS: Three of 18 specimens of the induction/centrifugation group and 9 of 18 specimens of plasma/vacuum-pressure cast presented porosities, but only 1 and 7 specimens, respectively, were rejected for simulation test. For Co-Cr alloy, no defects were found. Comparing the casting methods, statistically significant differences (p<0.05) were observed only for the Co-Cr alloy with 0.25 mm and 0.50 mm undercuts. Significant differences were found for the 0.25 mm and 0.75 mm undercuts dependent on the material used. For the 0.50 mm undercut, significant differences were found when the materials were induction casted. CONCLUSION: Although both casting methods produced satisfactory CP Ti RPD frameworks, the occurrence of porosities was greater in the plasma/vacuum-pressure than in the induction/centrifugation method, the latter resulting in higher clasp rigidity, generating higher retention force values.

Avaliação da resistência à abrasão do Ti cp frente a diversos materiais restauradores / Evaluation of Wear Resistance of cp Ti Opposing Several Restorative Materials

O uso do titânio comercialmente puro (Ti cp) tem aumentado na confecção de estruturas metálicas de próteses. Assim, o objetivo deste trabalho foi avaliar in vitro a resistência à abrasão do Ti cp em oposição a diversos materiais restauradores. Foram fundidos corpos-de-prova de forma hemiesféricas (5mm de raio) em titânio cp grau I por arco voltaico em atmosfera inerte de argônio. Como antagonistas foram preparados discos com 20,0mm de diâmetro de: Ti cp; ligas de Co-Cr e Ni-Cr, resina composta TPH e cerâmica Empress-2, todos com rugosidade de 0,75 micrometro. Foram realizados aproximadamente 40000 ciclos (4,4Hz) sob carga constante de 5N. A resistência à abrasão do titânio foi medida pelo desgaste vertical dos corpos-de-prova hemiesféricos em projetor de perfil Nikon. Os dados foram submetidos à ANOVA e teste complementar de Tukey (alfa=0,05). Os resultados (micrometros) encontrados foram: Ti cp X resina (37,75±7,99); Ti cp X cerâmica (73,25±9,96); Ti cp X Co-Cr (77,17±9,95), Ti cp X Ti cp (199,00±86,90) e Ti cp X Ni-Cr (261,50±39,23). Não houve diferença significante (p>0,05) quando os antagonistas foram de resina, cerâmica e liga de Co-Cr. Quando submetido a antagonistas de Ti cp e liga de Ni-Cr os resultados foram estatisticamente significantes (p<0,05), com maior desgaste contra o antagonista de Ni-Cr. É possível concluir que o material a ser utilizado na arcada antagonista deve ser escolhido cuidadosamente quando as próteses forem confeccionadas em Ti cp porque há o risco de desgaste da prótese.

The use of commercially pure titanium (cp Ti) has increased in prosthodontics frameworks. Thus, the aim of the present study was to evaluate in vitro wear resistance of cp Ti opposing several restorative materials. Hemispheres (r=5mm) were cast in cp grade I by arc melting under inert argon atmosphere. As antagonistic samples, disks of 20mm in diameter were prepared in cp Ti, Co-Cr and Ni-Cr alloy, composite resin and Empress-2 ceramic, and roughness was adjusted to 0.75 micrometro. It was performed approximately 40,000 cycles (4.4Hz) using a load of 5N. Wear resistance of cp Ti was measured as height loss of hemispherical samples in a Nikon profile projector. The data were submitted to ANOVA and post-hoc Tukey test (alfa=0.05). The results (micrometros) were: cp Ti X composite resin (37.75±7.99); cp Ti X ceramic (73.25±9.96); cp Ti X Co-Cr (77.17±9.95), cp Ti X cp Ti (199.00±86.90) and cp Ti X Ni-Cr (261.50±39.23). No significant difference was noted (p>0.05) when antagonistic were composite resin, ceramic or Co-Cr alloy. When cp Ti opposed to cp Ti and Ni-Cr alloy, the results were statistically significant (p<0.05), presenting greater wear when Ni-Cr alloy was used as antagonist. It is possible to conclude that the material used as antagonist should be chosen carefully when titanium frameworks are used because there is a risk of wear of prostheses.

Effect of temperature variation on the cytotoxicity of cast dental alloys and commercially pure titanium

Cell culture system has been used to evaluate alloy cytotoxicity under different environments, testing the extracts, but the effect of temperature variation on the cytotoxicity of dental alloys has not been analyzed. OBJECTIVE: The aim of the present study was to investigate if temperature variation could affect dental alloy cytotoxicity, testing alloy extracts in an epithelial cell culture system. MATERIAL AND METHODS: Discs of Ni-Cr, Co-Cr-Mo, Ni-Cr-Ti, Ti-6Al-4V and commercially pure titanium (cp Ti) were cast by arc melting, under argon atmosphere, injected by vacuum-pressure. Discs were immersed in artificial saliva and subjected to different temperatures: 37ºC and thermocycling (37ºC/5ºC/37ºC/55ºC/37ºC). After thermocycling, extracts were put in a subconfluent culture during 6 h, and the number of cells and their viability were used to evaluate cytotoxicity in these temperatures. For each alloy, data from temperature conditions were compared by Student's t-test (α=0.05). RESULTS: The cytotoxicity tests with alloy/metal extracts showed that Ni-Cr, Co-Cr-Mo, Ti-6Al-4V and cp Ti extracts (p>0.05) did not affect cell number or cell viability, while Ni-Cr-Ti (p<0.05) extract decreased cell number and viability when the alloy was subjected to thermocycling. CONCLUSION: Within the limitations of the present study, the Ni-Cr-Ti alloy had cell number and viability decreased when subjected to temperature variation, while the other alloys/metal extracts did not show these results.

Accuracy of stone casts obtained by different impression materials

Several impression materials are available in the Brazilian marketplace to be used in oral rehabilitation. The aim of this study was to compare the accuracy of different impression materials used for fixed partial dentures following the manufacturers' instructions. A master model representing a partially edentulous mandibular right hemi-arch segment whose teeth were prepared to receive full crowns was used. Custom trays were prepared with auto-polymerizing acrylic resin and impressions were performed with a dental surveyor, standardizing the path of insertion and removal of the tray. Alginate and elastomeric materials were used and stone casts were obtained after the impressions. For the silicones, impression techniques were also compared. To determine the impression materials' accuracy, digital photographs of the master model and of the stone casts were taken and the discrepancies between them were measured. The data were subjected to analysis of variance and Duncan's complementary test. Polyether and addition silicone following the single-phase technique were statistically different from alginate, condensation silicone and addition silicone following the double-mix technique (p < .05), presenting smaller discrepancies. However, condensation silicone was similar (p > .05) to alginate and addition silicone following the double-mix technique, but different from polysulfide. The results led to the conclusion that different impression materials and techniques influenced the stone casts' accuracy in a way that polyether, polysulfide and addition silicone following the single-phase technique were more accurate than the other materials.

Comparative study of chemical and mechanical retentive systems for bonding of indirect composite resin to commercially pure titanium

This study evaluated the effect of chemical and mechanical surface treatments for cast metal alloys on the bond strength of an indirect composite resin (Artglass) to commercially pure titanium (cpTi). Thirty cylindrical metal rods (3 mm diameter x 60 mm long) were cast in grade-1 cpTi and randomly assigned to 6 groups (n=5) according to the received surface treatment: sandblasting; chemical treatment; mechanical treatment - 0.4 mm beads; mechanical treatment - 0.6 mm beads; chemical/mechanical treatment - 0.4 mm; and chemical/mechanical treatment - 0.6 mm beads. Artglass rings (6.0 mm diameter x 2.0 mm thick) were light cured around the cpTi rods, according manufacturer's specifications. The specimens were invested in hard gypsum and their bond strength (in MPa) to the rods was measured at fracture with a universal testing machine at a crosshead speed of 2.0 mm/min and 500 kgf load cell. Data were analyzed statistically by one-way ANOVA and Tukey test (a=5 percent). The surface treatments differed significantly from each other (p<0.05) regarding the recorded bond strengths. Chemical retention and sandblasting showed statistically similar results to each other (p=0.139) and both had significantly lower bond strengths (p<0.05) than the other treatments. In conclusion, mechanical retention, either associated or not to chemical treatment, provided higher bond strength of the indirect composite resin to cpTi.

Este estudo avaliou o efeito de tratamentos de superfície químico e mecânico para ligas metálicas fundidas sobre a resistência de união de uma resina composta indireta (Artglass) ao titânio comercialmente puro (Ti cp). Trinta varetas cilíndricas metálicas (3 mm diâmetro x 60 mm comprimento) foram fundidas em Ti cp grau 1 e igualmente divididas em grupos de acordo com os seguintes tratamentos de superfície: jateamento, químico, mecânico com esferas de 0,4 mm, mecânico com esferas de 0,6 mm, químico/mecânico com esferas de 0,4 mm e químico/mecânico com esferas de 0,6 mm. Anéis de Artglass (6 mm diâmetro X 2 mm espessura) foram fotopolimerizados ao redor das varetas, de acordo com as recomendações do fabricante. Os corpos-de-prova foram embutidos em gesso-pedra e a resistência de união (MPa) foi medida em uma máquina universal de ensaios com velocidade de 2,0 mm/min e célula de carga de 500 kgf. Os dados foram analisados estatisticamente por ANOVA a um critério e teste de Tukey (a=5 por cento). Houve diferença estatisticamente significante (p<0,05) entre os tratamentos de superfície quanto à resistência adesiva. Retenção química e jateamento apresentaram resultados estatisticamente semelhantes (p=0,139), e ambos apresentaram menores valores de retenção que os demais tratamentos (p<0,05). Em conclusão, a retenção mecânica, associada ou não a tratamento químico, apresentou melhores resultados de resistência adesiva do compósito indireto ao Ti cp.

Analysis of the relationship between the surface hardness and Wear resistance of indirect composites used as veneer materials

This study evaluated the surface hardness and wear resistance of indirect composites (Artglass and Solidex) and the existence of a correlation between these properties. Twenty-four specimens (12 per material) were fabricated using a polytetrafluoroethylene matrix (5.0 mm in diameter; 7.0 mm high) following an incremental technique. Polymerization was done with a xenon stroboscopic light curing unit. After polishing, the specimens were stored in water at 37°C during either 1 day (n=6 per material) or 55 days (n=6 per material), after which Vickers surface hardness and wear resistance were assessed. Data were analyzed statistically by unpaired Student t-test, two-way ANOVA and Tukey's test. Surface hardness. Artglass had higher surface hardness than Solidex after 1-day immersion period (p<0.01), but after 55 days there was no significant difference between the materials (p>0.05). Comparing the materials at both periods, Artglass means differed significantly to each other (p<0.01), while no significant difference was found between Solidex means (p>0.05). Wear resistance. Solidex had higher wear than Artglass after 1-day immersion period (p<0.01), but no significant difference was found between the materials after 55 days (p>0.05). Comparing the materials at both periods, Artglass means differed significantly to each other (p<0.01), with higher wear at 55-day period, but no difference was found between Solidex means (p>0.05). These results suggest that Artglass was better than Solidex in terms of hardness and wear resistance after 1-day water immersion. However, it was more susceptible to degradation, showing greater wear after 55 days. In conclusion, there was an inverse correlation between surface hardness and wear resistance for both Artglass and Solidex indirect composites, that is the higher the hardness, the lower the wear.

Este trabalho avaliou a dureza superficial e resistência à abrasão de duas resinas compostas indiretas (Artglass e Solidex) bem como a existência de correlação entre estas propriedades. Foram confeccionados 24 corpos-de-prova (12 de cada compósito) pela técnica incremental utilizando uma matriz de politetrafluoretileno. A polimerização foi feita usando uma unidade fotopolimerizadora com lâmpada estroboscópica de xenônio. Após polimento, os corpos-de-prova foram armazenados em água a 37°C durante períodos de 1 dia (n=6 por material) ou 55 dias (n=6 por material), após os quais a dureza superficial Vickers e a resistência à abrasão foram testadas. Os dados foram analisados estatisticamente por meio do teste t de Student não-pareado, ANOVA a dois critérios de classificação e teste de Tukey. A comparação entre os materiais para a dureza superficial demonstrou que, no período de 1 dia, Artglass teve maior dureza (p<0,01). No período de 55 dias não houve diferença estatisticamente significante entre os materiais (p>0,05). Comparando os materiais nos dois períodos, Artglass apresentou diferença estatisticamente significante (p<0,01), o que não foi observado para o Solidex (p>0,05). A comparação entre os materiais para a resistência à abrasão demonstrou que, no período de 1 dia, o Solidex teve maior desgaste (p<0,01) que o Artglass, enquanto no período de 55 dias não houve diferença significante (p>0,05). Comparando os materiais em ambos os períodos, houve diferença estatisticamente significante para o Artglass (p<0,01), com maior desgaste no período de 55 dias, mas não houve diferença significante para o Solidex (p>0,05). Esses resultados sugerem que o Artglass teve melhor desempenho que o Solidex quanto à dureza e resistência ao desgaste após 1 dia de imersão em água; porém, foi mais suscetível à degradação, com maior desgaste após 55 dias. Concluiu-se que houve correlação inversa entre dureza superficial e resistência ao desgaste para os compósitos...